Active NPI
Ethel John C Sartorio, PHYSICAL THERAPIST
- Physical Therapist
- Eatontown, NJ
National Provider Identifier
1659445336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01212300
- Practice address
- 285 Parker Road
Eatontown, NJ 07724 - Phone
- (732) 229-3344
- Fax
- (732) 728-0870
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01212300 | NJ | Primary |
Addresses
Primary practice location
285 Parker Road
Eatontown, NJ 07724
Mailing address
450 Shrewsbury Plaza
Suite 291
Shrrewsbury, NJ 07702
Phone (732) 229-3344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070118000405 | NJ | Practitioner - Physical Therapist in Private Practice | 2860493822 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Active Care Solutions LLC
Practice addresses (Care Compare)
285 Parker Rd
Eatontown, NJ 07724-9621
Phone (732) 229-3344
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01212300 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Care Solutions LLC | Current | Accepting new patients |
Locations
285 Parker Rd
Eatontown, NJ 07724
Phone (732) 229-3344
721 W Kennedy Blvd
Lakewood, NJ 08701
Phone (732) 905-0053
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659445336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 SHREWSBURY PLAZA",
"address_2": "SUITE 291",
"city": "SHRREWSBURY",
"state": "NJ",
"postal_code": "07702",
"telephone_number": "732-229-3344",
"fax_number": "732-728-0870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 PARKER ROAD",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "07724",
"telephone_number": "732-229-3344",
"fax_number": "732-728-0870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARTORIO",
"first_name": "ETHEL JOHN",
"middle_name": "C",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01212300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eatontown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.